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    REPETITIVE TRANSCRANIAL MAGNETIC STIMULATION FOR MANAGEMENT OF POST-STROKE IMPAIRMENTS: AN OVERVIEW OF SYSTEMATIC REVIEWS

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    Author
    Kim, W-J; Rosselin, C; Amatya, B; Hafezi, P; Khan, F
    Date
    2020-02-01
    Source Title
    Journal of Rehabilitation Medicine
    Publisher
    FOUNDATION REHABILITATION INFORMATION
    University of Melbourne Author/s
    Khan, Farees; Amatya, Bhasker; Bhasker, Amatya
    Affiliation
    Medicine and Radiology
    Metadata
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    Document Type
    Journal Article
    Citations
    Kim, W. -J., Rosselin, C., Amatya, B., Hafezi, P. & Khan, F. (2020). REPETITIVE TRANSCRANIAL MAGNETIC STIMULATION FOR MANAGEMENT OF POST-STROKE IMPAIRMENTS: AN OVERVIEW OF SYSTEMATIC REVIEWS. JOURNAL OF REHABILITATION MEDICINE, 52 (2), https://doi.org/10.2340/16501977-2637.
    Access Status
    Access this item via the Open Access location
    URI
    http://hdl.handle.net/11343/254160
    DOI
    10.2340/16501977-2637
    Open Access URL
    http://doi.org/10.2340/16501977-2637
    Abstract
    OBJECTIVE: To evaluate evidence from published systematic reviews of clinical trials to determine the effectiveness of repetitive transcranial magnetic stimulation (rTMS) in stroke population. METHODS: The Cochrane Library, MEDLINE, CINAHL, EMBASE, and PubMed were searched for systematic reviews up to 15 January 2019. Three authors independently screened the reviews and assessed the methodological quality, using Assessment of Multiple Systematic Reviews (AMSTAR) appraisal tool. Quality of evidence for outcomes evaluated within the reviews was appraised with Grade of Recommendation, Assessment, Development and Evaluation (GRADE) tool. RESULTS: Twelve reviews (n = 9,117 participants) evaluated the effectiveness of rTMS on motor and non-motor (aphasia, depression, dysphagia and cognition) functions. The rTMS protocols applied and outcomes measured were diverse amongst the selected reviews. The findings suggest beneficial effect of rTMS with: "moderate quality" evidence for dysphagia and hemineglect, "low to moderate quality" evidence for motor function (upper limb function, daily activities), and "low quality" evidence for aphasia and post-stroke depression. CONCLUSION: Despite widespread use of rTMS, high-quality evidence for its routine use for the treatment of stroke survivors is lacking. Further studies are required to establish differential roles of various protocols and long-term effects of rTMS in the stroke population.

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